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Nursing homeFAID #11706

Estelline Nursing and Care Center

205 FJERESTAD AVENUE EAST, ESTELLINE, SD, 57234
(605) 873-2278
60 licensed beds
★★★★★4/5CMS Five-Star overall5/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

205 Fjerestad Avenue East
Estelline, SD 57234
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Public record summary

What we can show you for free.
Bed capacity
60
CMS facility ID
435099
Care type
Nursing home
County
Hamlin
Facility name
Estelline Nursing and Care Center
Street address
205 FJERESTAD AVENUE EAST
City / state / ZIP
Estelline, SD 57234
Phone
(605) 873-2278

About this facility — Estelline Nursing and Care Center

Estelline Nursing and Care Center is a Medicare/Medicaid-certified skilled nursing facility in Estelline, South Dakota. It is licensed for 60 beds — above the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 2 senior care facilities in Estelline and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Estelline Nursing and Care Center 4 times across 6 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $16,826 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Government - City

Registered owners & officers

Cecil, Daniel
Additional disclosable party — since 2021
City of Estelline
Operational control — since 2024
Hanssen, Jason
Officer · Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
1996-05-01
CMS overall rating
4 of 5 stars
Health deficiencies
1 at the last standard inspection
Federal fines
$16,826 total
Last standard inspection
2026-06-25
Nurse staffing
2.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$237 per day (≈ $7,200/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
35% Medicaid · 5% Medicare · 60% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
42% below the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-25Health inspection1 citation
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-08-03
2023-12-14Health inspection1 citation
F-0812
L · Immediate jeopardyFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-12
1 earlier / fire-safety inspection (2 citations)
2026-06-25Fire-safety inspection2 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-08-03
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-08-03

Federal penalties

2023-12-14Fine$16,826
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435099.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 4 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered